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<br /> AIR CONDITIONING $25.00 each unit
<br /> Central Air Separate Central Air System
<br /> w/furnace
<br /> Brand name Model No. Tons
<br /> Total
<br /> *��***��*****�*��*���***��***********����**�*�**,�***�r**�r�*�����*�**�****���
<br /> �Tn100D BIIRNING EQIIIPP�eTT $35.00 each unit Wood stove with flue
<br /> � $30. 00 each unit Wood combination or add-on unit
<br /> $40.00 each unit Factory fireplace with f lue
<br /> ' Factor Fireplace (s) freestanding built-in
<br /> Wood S�ove (s) franklin, other
<br /> Brand Name Mode 1 No.
<br /> Mfgr's Min. , Clearances, side , rear , min. flue dia.
<br /> Total
<br /> ��,��u*�*�*�*******�����,�*���**��*��,���*�**,��**�**��***�*��r���**�*�r���**�,�*�r�
<br /> VENTILATYOAT $5.00 each exhaust fans, (bath, kitchen,
<br /> attic, e�c. )
<br /> No. Ritchen Exhaust ducted recirculating cfm
<br /> No. Bath Exhaus� (must be ducted outside) cfm
<br /> No. Other Fans: Locations cfm
<br /> Total
<br /> �����,r��u����*���a�**�������**�*���***��r**�r*,x�**��,��*���*���r,��������������r**�r
<br /> FDEL STORI�GE (must be approved by fire marshal) $20.00 Permanent
<br /> Fuel oiY, gallons underground $linsideemporaoutside
<br /> LP Gas, gallons
<br /> Other
<br /> �������**��r����*�***���r������**,�*,�,�*��r*���,x**�,�**�r*,�*���**�r��*���**�����*�r,�
<br /> SP1tIY�TRI.ER SYST�S Minimum $20.00 each system
<br /> Number of Heads No. of Risers $2.00 per head
<br />; ��r���r��a��u��*����������r��,�����*��r��*���,�*�*,��,u���****�*,������r�r*����u*,���*���u*
<br />� c�s �.a� �r�sp$c�zo�
<br />; Iiigh/Low P�essure � � $30.00 =
<br /> i �x*,t*����x��r�,t�r���������x,t***�'��rsr�,t��r***�r��a�*��*�,�***�***�r�����s��*���,a�*�r,r���:;� �
<br />� PERAIYT, YrEB �CALCQI��ITION
<br />: 1. TotaY of above Installations or�Minimum Fee _($3-0.00) � � $ Sn�nn
<br /> 2. State Surchar�e• Add the State Building Code Division
<br /> Surcharge to each permit • $ .50
<br /> 3. Posta�e and Handling on all mailed-in applications, $ 1.50
<br /> 4. TOTAL PERMIT FEE add Iines 1-3 above ����
<br /> The undersigned hereby applies to the City of issuance of a MechanicaY
<br /> Permit, agrees to do aIl work in strict accordance with the ordinances of
<br />, the City and the regulations of the Minnesota State Building Code, and
<br /> certifies that all statements made on this application are complete, true
<br />� and correct.
<br /> A Iican� •� /�-/.��
<br /> PP C/V• � Date �
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